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Thanks for your query.
Yes, bilirubin is on the higher side which has to be evaluated well. An increase in indirect bilirubin points at increased production of bilirubin rather than a failure of clearance by the liver. It is very essential to find out the cause of increased production, which is usually secondary to increased death of RBC.
Coombs test is what helps to rule out hemolytic anemia. Please do consult a hematologist who can order the tests and examine to rule out the same.
Hope, I answered your query.
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